Healthcare Provider Details

I. General information

NPI: 1215623715
Provider Name (Legal Business Name): YOU BELONG TOGETHER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 04/17/2023
Certification Date: 04/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 ALLIED ST STE 103
GREEN BAY WI
54304-5542
US

IV. Provider business mailing address

2960 ALLIED ST STE 103
GREEN BAY WI
54304-5542
US

V. Phone/Fax

Practice location:
  • Phone: 920-740-3739
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: AMY BEHREND
Title or Position: DIRECTOR
Credential:
Phone: 920-740-3739